Organization
INDIANA HEALTH CENTERS, INC.
Active
Organization
INDIANA HEALTH CENTERS, INC.
Active
Other names
Indiana Health Centers South Bend at Oaklawn
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY NAGEL (CFO)
(317) 576-1335
Entity
Organization
Contact information
Practice address
8003 CASTLEWAY DR, INDIANAPOLIS, IN 46250-1946
(317) 576-1335
(317) 576-1339
Mailing address
8003 CASTLEWAY DR, INDIANAPOLIS, IN 46250-1946
(317) 576-1335
(317) 576-1339
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
100223780
IN
207Q00000X
Family Medicine Physician
200443050
IN
207R00000X
Internal Medicine Physician
200527220
IN
207V00000X
Obstetrics & Gynecology Physician
01023827A
IN
208000000X
Pediatrics Physician
200284500A
IN
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000071250
—
IN
Enumeration date
08/11/2006
Last updated
11/10/2020
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